40 votes
I remember the first time I did anything besides oil, it was spark plugs and power steering fluid on my old accord. Starting it up after had me nervous, second guessing everything I did.
And timing belt, and spark plug change every 90 K miles or so.
Sounds like it could be a spark plug. For some reason the Prelude likes to eat through them. Shows the exact same symptoms you describe (loss of power, different exhaust note).
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